Healthcare Provider Details

I. General information

NPI: 1073398103
Provider Name (Legal Business Name): INHOUSE MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 MOUNTAIN AVE
HACKETTSTOWN NJ
07840-2390
US

IV. Provider business mailing address

137 MOUNTAIN AVE
HACKETTSTOWN NJ
07840-2390
US

V. Phone/Fax

Practice location:
  • Phone: 908-852-1887
  • Fax: 908-852-0614
Mailing address:
  • Phone: 908-852-1887
  • Fax: 908-852-0614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: VINEET SANDHU
Title or Position: OWNER
Credential: MD
Phone: 908-852-1887